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Jerry Smith
Assisted Living Facility in Dawsonville, Georgia
NPI 1538572730

Jerry Smith is an Assisted Living Facility based in Dawsonville, GA. Jerry Smith practices in Dawsonville, GA. The NPI Number for Jerry Smith is 1538572730 and holds a License No. PCH005362 (Georgia).

The current practice location address for Jerry Smith is 50 Tanglewood Dr, Dawsonville, GA and can be reached out via phone at 706-867-0106 and via fax at 706-864-3368.

Location: 50 Tanglewood Dr, Dawsonville, GA, 30534-8140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538572730
Provider Name
Jerry Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
50 Tanglewood Dr, Dawsonville, GA, 30534-8140
Phone Number
706-867-0106
Fax Number
706-864-3368
Provider Enumeration Date
06/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
50 Tanglewood Dr
City
Dawsonville
State
Georgia
Zip
30534-8140
Phone Number
706-867-0106
Fax Number
706-864-3368
person
Provider Business Mailing Address Details
Address
50 Tanglewood Dr
City
Dawsonville
State
Georgia
Zip
30534-8140
Phone Number
706-867-0106
Fax Number
706-864-3368
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
PCH005362 (Georgia)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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